Provider Demographics
NPI:1023466141
Name:PAIN RELIEF CENTER OF HOMESTEAD
Entity type:Organization
Organization Name:PAIN RELIEF CENTER OF HOMESTEAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:D
Authorized Official - Last Name:BRESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-248-2250
Mailing Address - Street 1:46 N HOMESTEAD BLVD
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-7416
Mailing Address - Country:US
Mailing Address - Phone:305-248-2250
Mailing Address - Fax:305-248-2266
Practice Address - Street 1:46 N HOMESTEAD BLVD
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-7416
Practice Address - Country:US
Practice Address - Phone:305-248-2250
Practice Address - Fax:305-248-2266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-31
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty